| Pecks Family Practice Plc | |
|
1688 W Granada Blvd Ste 2a Ormond Beach FL 32174-1851 | |
| (386) 677-2018 | |
| (386) 676-0737 |
| Full Name | Pecks Family Practice Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 1688 W Granada Blvd, Ormond Beach, Florida |
| Authorized Official Name and Position | Benjamin Jay Peck (OWNER) |
| Authorized Official Contact | 3866772018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pecks Family Practice Plc 1688 W Granada Blvd Ste 2a Ormond Beach FL 32174-1851 Ph: (386) 677-2018 | Pecks Family Practice Plc 1688 W Granada Blvd Ste 2a Ormond Beach FL 32174-1851 Ph: (386) 677-2018 |
| NPI Number | 1164528915 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 08/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164528915 | NPI | - | NPPES |
| DA1617 | Other | FL | RAILROAD MEDICARE |
| 271555400 | Medicaid | FL | |
| 34648 | Other | FL | BCBS OF FLODIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME71672 (Florida) | Primary |
Ormond Family Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 279 S Yonge St, Ormond Beach, FL 32174 Phone: 386-955-9704 Fax: 386-872-5004 | |
James E Mcdonnell Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Clyde Morris Blvd, Suite 130, Ormond Beach, FL 32174 Phone: 386-677-6727 Fax: 386-677-3211 | |
Mark W. Lastarza, M.d., Pa. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 Clyde Morris Blvd, Suite 290, Ormond Beach, FL 32174 Phone: 386-672-3219 Fax: 386-672-3160 | |
Skeuthaus Inpatient Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Sterthaus Ave, Ormond Beach, FL 32174 Phone: 386-676-6000 | |
Advanced Health Care Physical Medicine,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 W Granada Blvd, Suite 101, Ormond Beach, FL 32174 Phone: 386-673-2000 Fax: 386-673-2002 | |
Roya Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 N Beach St, Suite A, Ormond Beach, FL 32174 Phone: 386-673-8333 Fax: 386-673-5236 | |
Mobile Health Solutions Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Pine Creek Trl, Ormond Beach, FL 32174 Phone: 386-566-1733 Fax: 386-615-6628 |